Summary

for females ages 15-49 (full criteria)
healthy people welcome
at San Diego, California
study started
estimated completion:
Jay G Silverman

Description

Summary

The primary purpose of this research is to conduct a small matched cluster control trial of an intervention designed to address reproductive coercion and unintended pregnancy (ARCHES - Addressing Reproductive Coercion within Healthcare Settings) adapted to the Kenyan cultural and family planning healthcare context (ARCHES Kenya) so as to provide initial data regarding acceptability, feasibility and efficacy in this high-need LMIC context.

Official Title

ARCHES Kenya: Addressing Reproductive Coercion in HEalth Settings

Details

The project consortium will implement the ARCHES Kenya model across 6 Family Health Options Kenya clinics in Nairobi, Kenya. A matched-pair cluster control design including 600 female FP clients ages 15-49 years (inclusive of 360 clients age 15-24 years) will be utilized to evaluate this intervention. Baseline data will be collected prior to routine FP service delivery, with a short exit survey conducted immediately following the clients' FP appointment (ARCHES or standard FP counseling will be provided during this visit). Follow-up data will be collected at 3 and 6-months post-intervention. Qualitative data will be collected from intervention providers (n=12) regarding implementation via weekly technical assistance sessions during the first three months, and then monthly, regarding acceptability and feasibility of integrating ARCHES into routine FP counseling, including barriers and facilitators to implementation, and any issues with maintaining fidelity to the ARCHES model. Structured interviews with select providers (n=12) will also be conducted at 3-months post-training to delve further into these issues. Structured interviews with intervention participants reporting experience of RC in the past 3 months on the baseline survey (20 participants ages 15-24, 15 ages 25-49; total n=35) will be conducted at 3-months follow-up to assess their experience of the intervention; perceived utility of the messages, care and materials; barriers to utilizing messaging and materials; and suggestions for improvement. Analyses specific to participants ages 15-24 will provide findings to guide consideration of ARCHES as an effective strategy to improve reproductive health and reduce GBV among adolescents in the region. The project consortium will engage Government of Kenya officials, IPPF executive directors and IPPF member associations across the federation to pave the way for the future roll out of this approach in other low and middle-income country (LMIC) contexts.

Keywords

Unintended Pregnancy Family Planning Intimate Partner Violence (IPV) Reproductive Coercion Gender-based violence Contraception Clinic-based screening for IPV Clinic-based counseling ARCHES Kenya

Eligibility

You can join if…

Open to females ages 15-49

  • FHOK client seeking voluntary FP services
  • Aged 15-49 years
  • Biologically Female
  • Willing to complete baseline, exit, 3-month, and 6-month follow-up surveys
  • Able to provide informed consent
  • Able to communicate in either English or Swahili

You CAN'T join if...

Location

  • Center on Gender Equity and Health, University of California, San Diego
    San Diego California 92093 United States

Details

Status
not yet accepting patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Diego
ID
NCT03534401
Lead Scientist
Jay G Silverman
Study Type
Interventional
Last Updated
May 21, 2018